Do you need an MSA? Questions to Ask

Wondering if you need an MSA for your Auto or Liability case? Medicare Set-Asides are a vehicle to make certain that Medicare maintains its “secondary payer” status. If payment can reasonably be expected to be made under an automobile or liability insurance policy, they are defined in the statute as a “primary plan.” It then…

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What Does an MSA Cover?

Do you have cases that need a Medicare Set-Aside (MSA)? Or maybe a Medical Cost Projection is a better fit? Let’s review what IS and IS NOT in a Medicare Set-Aside.    Medicare Set-Asides cover the basics of medically necessary treatments and prescriptions:  Medicare Part A Covers: Hospital care, home health care, skilled nursing facility,…

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Todd Franklin Presenting at Lake County Board of Commissioners’ Workers’ Comp Seminar

MASSIVE’s CEO, Todd Franklin, will be presenting at the Lake County Board of Commissioners’ 7th Annual Workers’ Compensation Seminar in Crown Point, Indiana on Friday, December 9 at 11:30 a.m. CST.   Key content to be examined includes:  Laws and Regulations Behind MSAs  Version 3.6 Update   LMSA Requirements: A Technical Review  What Does CMS’ Proposed…

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CMS Guidance on WCMSA’s Section 4.3

We like to remind the legal industry that Medicare Set-Asides (“MSAs”) don’t exist under the law. They’re a very good idea considering the consequences to a claimant or plaintiff of not having an MSA.   Remember that CMS’s recent update to the WCMSA User Guide has a new section 4.3 with CMS warning us of…

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The New Rules of MSAs

How Defense Uses Non-Submit MSAs

Medicare Set-Asides (“MSAs”) don’t exist under the law. CMS insists MSAs are a voluntary process. But – are they truly voluntary?   CMS’s recently updated WCMSA User Guide has a new section 4.3 that makes it seem like MSAs are essentially mandatory. The good news is that CMS has laid out all of the reasons…

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2022 WILG Longshore Conference

A lawyer and client discuss options for a Medicare lien resolution.

As a WILG Gold Level Affinity Partner, MASSIVE looks forward to connecting with our fellow members and participating in the WILG Longshore Conference in New Orleans March 25-26, 2022.   MASSIVE’s COO, Ryan Weiner, Esq. will be presenting the complex topic of “How Defense Uses Non-Submit MSAs” on March 26 at 11:15 a.m. (CST), something…

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What is a “Non-Submit” or “Evidence-Based” MSA?

Medicare Set-Asides are a specialized product where Medicare has set forth a special process. The general idea is that an MSA will pay for medical care related to sued-for injuries so that Medicare doesn’t pay. But what happens when the MSA industry decides it wants to cut Medicare from the approval process?    Medicare says…

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